Shinohara Tadao, Yokoi Yasutaka, Kubota Junichi, Mukaihara Shigeo
Department of Neurosurgery, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan.
J Neuroendovasc Ther. 2020;14(11):528-534. doi: 10.5797/jnet.tn.2020-0010. Epub 2020 Aug 26.
Several techniques have been reported for navigating devices to the basilar artery (BA). We report a case of acute BA reconstruction using the buddy wire technique to guide a coronary stent to the BA.
The patient was a 74-year-old man without a history of stroke. He suddenly developed quadriplegia and coma due to basilar artery occlusion (BAO). Although mechanical thrombectomy with a stent retriever and subsequent balloon angioplasty were performed repeatedly for residual severe stenosis, recanalization was not maintained. Recanalization with a coronary stent was attempted, but guidance was difficult because of the tortuous vertebral artery (VA). The stent was successfully guided to the BA by navigating two microguidewires as far as possible to the contralateral VA across the union.
The cross-over buddy wire technique is a useful option for guiding a coronary stent to the BA.
已有多种将器械导航至基底动脉（BA）的技术报道。我们报告一例使用伙伴导丝技术将冠状动脉支架引导至BA进行急性BA重建的病例。
患者为一名74岁男性，无卒中病史。因基底动脉闭塞（BAO）突然出现四肢瘫痪和昏迷。尽管反复使用支架取栓器进行机械取栓及随后的球囊血管成形术以处理残留的严重狭窄，但再通情况未得到维持。尝试使用冠状动脉支架进行再通，但由于椎动脉（VA）迂曲，引导困难。通过将两根微导丝尽可能远地穿过汇合处导航至对侧VA，成功将支架引导至BA。
交叉伙伴导丝技术是将冠状动脉支架引导至BA的一种有用选择。
